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    Exam Review

    1. A nurse assesses a neonate's respiratory rate at 46 bpm 6 hours after birth.Respirations are shallow, with periods of apnea lasting up to 5 seconds.Which action should the nurse take next?
      A)Continue routine monitoring.
      B)Attach an apnea monitor.
      C)Follow respiratory arrest protocol.
      D)Call the pediatrician immediately to report the finding.
    2. A nurse is reviewing the electronic medical record of a postpartum client.The nurse should identify which of the following factors places the client at risk for infection.
      A)Placenta previa.
      B)Meconium aspiration.
      C)Midline episiotomy.
      D)Gestational hypertension.
    3. What is the most likely cause for variable fetal heart rate (FHR) decelerations?
      A)Fetal hypoxemia.
      B)Altered fetal cerebral blood flow.
      C)Uteroplacental insufficiency.
      D)Umbilical cord compression.
    4. A nurse is preparing to administer vitamin K by IM injection to a newborn.The nurse should administer the medication into which of the following muscles?
      A)Ventrogluteal.
      B)Deltoid.
      C)Dorsogluteal.
      D)Vastus lateralis.
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    Exam Review

    1. A nurse on the labor and delivery unit is assessing four clients.Which of the following clients is a candidate for an induction of labor with Misoprostol?
      A)A client who has placenta previa.
      B)A client who has active genital herpes.
      C)A client who has a previous uterine incision due to multiple myomectomy.
      D)A client who has gestational hypertension.
    2. A patient with pregnancy-induced hypertension is admitted complaining of pounding headache, visual changes, and epigastric pain.Nursing care is based on the knowledge that these signs indicate:
      A)Worsening disease and impending seizure.
      B)Effects of magnesium sulfate therapy.
      C)Anxiety due to hospitalization.
      D)Gastrointestinal upset.
    3. A nurse assesses a client in labor and suspects dysfunctional labor (hypotonic uterine dysfunction). The woman's membranes have ruptured and fetopelvic disproportion is ruled out.Which intervention would the nurse expect to include in the plan of care for this client?
      A)Encouraging the woman to assume a hands-and-knees position.
      B)Providing a comfortable environment with dim lighting.
      C)Administering oxytocin.
      D)Preparing the woman for an amniotomy.
    4. A nurse in an antepartum unit is triaging clients.Which of the following clients should the nurse see first?
      A)A client who is at 14 weeks of gestation and reports nausea and vomiting.
      B)A client who is at 28 weeks of gestation and reports painless vaginal bleeding.
      C)A client who is at 38 weeks of gestation and reports a cough and fever.
      D)A client who has missed a period and reports vaginal spotting.
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    Exam Review

    1. A prenatal nurse is providing instructions to a group of pregnant clients regarding measures to prevent toxoplasmosis.Which statement, if made by one of the clients, indicates a need for further instructions?
      A)I need to cook meat thoroughly.
      B)I need to drink unpasteurized milk only.
      C)I need to avoid contact with materials that are possibly contaminated with cat feces.
      D)I need to avoid touching mucous membranes of the mouth or eyes while handling raw meat.
    2. A breastfeeding woman develops engorged breasts at 3 days postpartum.What action would help this woman achieve her goal of reducing the engorgement?
      A)Reduces her fluid intake for 24 hours.
      B)Breastfeeds her infant every 2 hours.
      C)Avoids using a breast pump.
      D)Skips feedings to let her sore breasts rest.
    3. A nurse receives a handoff report.Which newborn should the nurse assess first?
      A)Glucose reading 58 mg/dl.
      B)Temperature 97.4°F (36.3°C).
      C)Respiratory rate 48 breaths/minute.
      D)Pulse 134 beats/minute.
    4. A client at 10 weeks gestation provides the following obstetric history to the nurse at the first prenatal visit: elective abortion at age 17, a 5-year-old daughter born at 40 weeks gestation, and 3-year-old twin boys born at 34 weeks gestation.Using GTPAL notation, which documentation appropriately describes the client's obstetric history?
      A)G3, T1, P2, A1, L3.
      B)G4, T1, P2, A1, L3.
      C)G3, T1, P1, A1, L3.
      D)G4, T1, P1, A1, L3.
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    Exam Review

    1. The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy is to:
      A)Monitor uterine contractions.
      B)Place clean disposable pads to collect any drainage.
      C)Assess fetal heart rate (FHR) and maternal vital signs.
      D)Perform a venipuncture for hemoglobin and hematocrit levels.
    2. A nurse assesses a client in labor and suspects dysfunctional labor (hypotonic uterine dysfunction). The woman's membranes have ruptured and fetopelvic disproportion is ruled out.Which intervention would the nurse expect to include in the plan of care for this client?
      A)Encouraging the woman to assume a hands-and-knees position.
      B)Providing a comfortable environment with dim lighting.
      C)Administering oxytocin.
      D)Preparing the woman for an amniotomy.
    3. A client in the first trimester of pregnancy arrives at a health care clinic and reports that she has been experiencing vaginal bleeding.A threatened abortion is suspected, and the nurse instructs the client regarding management of care.Which statement, if made by the client, indicates a need for further education?
      A)I will avoid sexual intercourse until the bleeding has stopped, and for two weeks following the last evidence of bleeding.
      B)I will continue with my normal life after discharge.
      C)I will count the number of perineal pads used on a daily basis and note the amount and color of blood on the pad.
      D)I will watch for the evidence of the passage of tissue.
    4. Infants in whom cephalohematomas develop are at increased risk for:
      A)Caput succedaneum.
      B)Jaundice.
      C)Infection.
      D)Erythema toxicum.
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    Exam Review

    1. A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment.Which of the following laboratory tests should the nurse plan to conduct?
      A)1-hour glucose tolerance test.
      B)Rubella titer.
      C)Sexually transmitted disease test (STI test).
      D)Group B strep culture.
    2. A nurse is caring for a newborn immediately following birth who has a large abdominal wall defect that is protruding from the right of the umbilicus and is not covered by a membrane.Which of the following actions should the nurse take?
      A)Position the newborn supine on a radiant warmer with a sterile gauze dressing on the defect.
      B)Place the newborn into a sterile bowel bag up to the axilla.
      C)Assist the maternal client with breastfeeding the newborn.
      D)Provide intermittent suction once an orogastric tube is placed.
    3. A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights.An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy by this method would be to:
      A)Limit the newborn's intake of milk to prevent nausea, vomiting, and diarrhea.
      B)Feed the newborn every six hours for better exposure to the UV light.
      C)Turn the infant every two hours to expose all body surfaces to the light.
      D)Apply an oil-based lotion to the newborn's skin to prevent drying and cracking.
    4. A nurse is caring for a client who is in preterm labor with a current LUS ratio of 1:1. Which of the following actions should the nurse take?
      A)Administer hydralazine 25 mg IV.
      B)Prepare the client for immediate delivery.
      C)Infuse a bolus of IV fluid.
      D)Administer betamethasone 12 mg IM. . .
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    Exam Review

    1. A nurse is assessing a client who is 3 days postpartum and is breastfeeding.The nurse notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is moderate, and the breasts are hard and warm to palpation.The client is exhibiting early indications of mastitis.Which of the following interventions should the nurse make?
      A)Application of a heating pad to the breasts is indicated.
      B)The client should be advised to remove her nursing bra.
      C)Additional interventions are not indicated at this time.
      D)The client should be encouraged to continue breastfeeding to promote drainage of milk ducts.
    2. When caring for a client with pre-eclampsia, which laboratory result should the nurse report to the physician immediately?
      A)Platelets 50,000/mm.
      B)Hemoglobin 11 grams/dL.
      C)Creatinine 0.3 mg/dL.
      D)Fasting blood glucose 65 mg/dL.
    3. The best time to teach non-pharmacologic pain control methods to an unprepared laboring woman is during which phase?
      A)Latent phase.
      B)Active phase.
      C)Transition phase.
      D)Second stage.
    4. A nurse is caring for a client who has hyperemesis gravidarum.Which of the following laboratory tests should the nurse anticipate?
      A)Rapid plasma regain.
      B)Urine culture.
      C)Prothrombin time.
      D)Urine ketones.
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